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Biology/How will the drug affect urine formation?

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Question
A drug inhibits the formation of ATP by the cells of the proximal tubule is introduced into the nephron. How will the drug affect urine formation? Provide a complete physiological explanation.

Answer
Marius, I cannot provide a complete physiological explanation, but let me give you some considerations for how to answer this:

1. What is ATP used for in the proximal tubule?

2. What direction of flow (for water, ions, glucose, etc.) is achieved by the use of ATP in the PT?

3. What would happen without the presence of ATP?

4. How would this affect the downstream presence of ions, water, glucose, etc.?

5. Given your above answers, how would the flow of water into the tubules be affected? Would this tend to increase or decrease urine output?

Here's a website that discusses the basic physiology and anatomy, along with cross-sections:

http://trc.ucdavis.edu/mjguinan/apc100/modules/Urinary/mammal/cortex1/cortex.htm...

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